How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $22,908.68 | Facility | None | $4,570.88 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,311.31 | $4,570.88 | $4,570.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $5,248.07 | Professional | None | $3,019.95 | $3,467.37 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $7,762.47 | Professional | None | $4,073.80 | $4,466.84 | $7,762.47 |
Medcost Setting Facility Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,467.37 | $4,570.88 | $9,120.11 |
Medcost Setting Professional Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $4,897.79 | Professional | None | $3,801.89 | $4,570.88 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $3,090.30 Typical High $5,495.41 | Professional | None | $281.84 | $3,090.30 | $5,495.41 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $8,317.64 | Professional | None | $3,311.31 | $4,897.79 | $8,317.64 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,659.59 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $660.69 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $3,467.37 Typical High $3,467.37 | Professional | 54 · Surgery only | $2,454.71 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $501.19 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $331.13 | $457.09 | $457.09 |
Where South Carolina sits
The same service costs 7.4 times more in Alaska than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 44th of 51
$3,311
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.